Individual provider Active NPI

Corinne McKinney, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1487308797
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010521 Issued in VA
Practice address
2840 Electric Rd Ste 200
Roanoke, VA 24018-3551
Phone
(540) 598-1373
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010521 VA Primary

Addresses

Primary practice location

2840 Electric Rd Ste 200
Roanoke, VA 24018-3551

Mailing address

2840 Electric Rd
Ste 200
Roanoke, VA 24018-3551
Phone (540) 598-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517002497 VA Practitioner - Clinical Social Worker 1153714159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Roanoke PC Clinical CurrentSince Mar 30, 2023 Accepting new patients
Lewis Gale Physicians LLC PastSince Feb 13, 2022 Accepting new patients

Locations

2840 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 772-5153

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1487308797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 ELECTRIC RD",
            "address_2": "STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183551",
            "telephone_number": "540-598-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 ELECTRIC RD STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183551",
            "telephone_number": "540-598-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.